Active NPI
James W Dimitroff, MD
- Gastroenterology Physician
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 105556
- Practice address
- 70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619 - Phone
- (636) 916-9615
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
Gastroenterology, MO
-
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
-
- Gastroenterology Physician
- St Louis, MO
- NPI 1639236136
Gastroenterology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Southern Illinois University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Groups LC
Practice addresses (Care Compare)
10 Hospital Dr
Suite 100
Saint Peters, MO 63376-1659
Phone (636) 916-7272
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
Hospital & facility affiliations
- Barnes-Jewish St Peters Hospital
- Progress West Hospital
- Missouri Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.37 of 100
- Quality
- 79.66
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.57
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 127 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 115 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100826000887 | MO | Practitioner - Gastroenterology | 7719080811 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105556 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Gastroenterology | Current | Accepting new patients |
| Physician Groups LC | Current | Accepting new patients | |
| St Louis Gastroenterology Consultants PC | Gastroenterology | Current | Accepting new patients |
Locations
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
13303 Tesson Ferry Rd
Ste 35
Saint Louis, MO 63128
Phone (314) 842-5700
10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325
70 Jungermann Cir
Ste 201
Saint Peters, MO 63376
Phone (636) 916-9525
Interoperability endpoints
- james.dimitroff.p1@direct.essehealth.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 105556 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619
Mailing address
PO Box 959354
Saint Louis, MO 63195-9354
Phone (636) 916-9615
Other practice location 1
3555 Sunset Office Dr Ste 107
Saint Louis, MO 63127-1045
Phone (314) 543-5200
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206981201 | Medicaid | MO |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2025.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1376632018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959354",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631959354",
"telephone_number": "636-916-9615",
"fax_number": "636-916-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 JUNGERMANN CIR STE 201",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761619",
"telephone_number": "636-916-9615"
}
],
"practiceLocations": [
{
"address_1": "3555 Sunset Office Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631271045",
"country_code": "US",
"telephone_number": "314-543-5200",
"fax_number": "314-543-5219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMITROFF",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "105556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206981201",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "70 Jungermann Cir Ste 201",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633761619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.